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Teresa Wyatt Kodiak, APN-CNP,FNP-C
Family Nurse Practitioner in Chicago, Illinois
NPI 1902236912

Teresa Wyatt Kodiak is a Family Nurse Practitioner based in Chicago, IL and is specialized in Family. Teresa Wyatt Kodiak practices in Chicago, IL and has the professional credentials of APN-CNP,FNP-C. The NPI Number for Teresa Wyatt Kodiak is 1902236912 and holds a License No. 219010786 (Illinois).

The current practice location address for Teresa Wyatt Kodiak is 611 W Roosevelt Rd, Chicago, IL and can be reached out via phone at 773-570-3382.

Location: 611 W Roosevelt Rd, Chicago, IL, 60607-4911
person
Provider Profile Details
NPI Number
1902236912
Provider Name
Teresa Wyatt Kodiak
Credential
APN-CNP,FNP-C
Provider Entity Type
Individual
Gender
Female
Address
611 W Roosevelt Rd, Chicago, IL, 60607-4911
Phone Number
773-570-3382
Fax Number
Provider Enumeration Date
11/13/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
611 W Roosevelt Rd
City
State
Zip
60607-4911
Phone Number
773-570-3382
Fax Number
person
Provider Business Mailing Address Details
Address
611 W Roosevelt Rd
City
State
Zip
60607-4911
Phone Number
773-570-3382
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
219010786 (Illinois)
Definition
Definition to come...
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